Kupererwa kweMafuta Akabatana Okuda Zviratidzo
Pamwe mvura inoshandiswa, iyo inonziwo synovial fluid, inogona kutsvaga kubva kune imwe sangano uchishandisa nete nesirinhe. Iyo nzira inogona kuitwa muimba yechiremba yekuongorora uye mvura inoshandiswa inotumirwa ku laboratory kuti iongororwe. Kuwirirana kwemvura yakadzika kunowanzonziwo kune mamwe mazita, kusanganisira:
- synovial fluid analysis
- arthrocentesis
- joint tap
Kubviswa kwejoka remvura kune chinangwa zviviri-kuongororwa uye kurapa.
Nekuwana chikonzero chekubatana kwekubatana ndicho chinangwa, kubviswa kwehutachiona kunogona kubatsirawo kubvisa marwadzo uye kuomeswa pamubatanidzwa.
The Technique
Nzira yakashata inofanira kuteverwa kana ichiwana synovial fluid kuti iongororwe. Kuchengetedza kunotorwa kuitira kuti mabhakitiriya arege kuiswa mukati memubatanidzwa. Iyo nhengo isina kubatwa inoshandiswa kuunganidza musanganisi wemvura yakabva kune yakabatanidzwa yakagadzirirwa, asi kutanga, ganda rinotapira shandisa uchishanda wepoti, eg, Betadine (povidone-iodine). Nzvimbo yekunyepedzera inoshandiswa inoshandiswa zvakare.
Mushure mokunge mvura yakasvibiswa ichibviswa kubva pamubatanidzwa, chiremba anogona kuvhara mishonga (kazhinji corticosteroid ) muchibatanidzwa achishandisa nzvimbo imwe yejojo. Bhanhire rinoshandiswa mushure mokunge tsanga yakabviswa.
Kuonekwa
Kana imwe nguva mvura yakabatana inosvika pa laboratori kuti iongororwe, inoonekwa nemeso evanhu nokuda kwemavara uye kujekesa. Chirwere chenguva dzose chinosvibisa uye chinotaridzika uye chinoita chakajeka kuti chichena. Chiedza chekubatana mvura yakasvibiswa hachisi zvisizvo uye zvinokurudzira kuvhuvhuta kana utachiona.
Dambudziko rekubatana kwemvura rinowanzosakisa uye rinogona kukonzerwa nekushungurudzika kune chekubatana.
Microscopic Examination
Mvura inogadziriswa inoongororwa pasi microscope yekuvapo kwemasero eropa, makristst, uye mabhakitiriya. Chirongwa chemazuva ose chinenge chisina kana masero mashoma eropa. Nhamba huru dzemasero matsvuku eropa zvinoratidza kubuda ropa mubatanidzwa.
Nhamba huru dzemasero machena anogona kuitika nehutachiona, kuputika arthritis , gout, kana pseudogout .
Mvere dzacho kuwanikwa kusina kukwana. Uric acid makriststal anoratidza gout apo CPPD makristasi anoitika nepseudogout. Bhakitiriya isiriwowo. Chimiro chinogona kuziva chitubu chetachiona hwebhakitiriya.
Chemical Analysis
Pamwe mvura inogonawo kuongororwa glucose, protein, uye lactic dehydrogenase (LDH). Abnormal joint fluid zvigaro zvinogona kuratidza kuvhiringidza kana utachiona ndezvi:
- Glucose - pasi pe 40 mg / dl
- Purotini - yakakura kudarika kana yakaenzana ne 3 g / dl
- LDH - mukuru kune 333 IU / L
Zvimwe Zvakawanikwa kubva kuSynovial Fluid Analysis
Pamwe mvura inotaridzika inowanikwa mubato rinopera mushure meawa imwe chete pakuumbwa kwe fibrin clot. Uhu hwehutakiti hwakavharwa, asi chero chipfeko chinoratidza kuti kune dambudziko ne synovial membrane . Chimwe chiedzo chinonzi mucin clot test (acetic acid inowanikwa ku synovial fluid) inofungidzira kugadzirwa kwe hyaluronate. Murombo mucin clot maitiro anobatanidza nekuputira marudzi eArthritis.
Kuyera ropa kana mamwe maitiro e laboratori anogonawo kurongerwa nechinangwa chokutsigira uchapupu hunobva kuhutano hwe synovial fluid.
Sources:
Clinical Diagnosis by Laboratory Methods, Todd-Sanford.